Provider Demographics
NPI:1407958267
Name:ADAMS, ELEANORA N (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ELEANORA
Middle Name:N
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ELLIE
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:513 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3025
Mailing Address - Country:US
Mailing Address - Phone:512-297-8162
Mailing Address - Fax:
Practice Address - Street 1:25801 PERDIDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-6159
Practice Address - Country:US
Practice Address - Phone:251-981-7019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist